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1173425

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Neurology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of access to post traumatic care and rehabilitation for people with a neurological condition in (a) Lincolnshire and (b) the UK.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8138
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8139 8140 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173426

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Neurology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the cost-effectiveness of community rehabilitation and the associated reduction in hospital admissions and reliance on social care for people with neurological conditions.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8139
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8138 8140 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173428

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Brain: Injuries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of people living with acquired brain injury receive neuro-rehabilitation; and what plans his Department has to increase that proportion.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8141
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>This information is not collected. However, the majority of patients with acquired brain injury can access the services they need routinely through secondary care and community services which are commissioned locally.</p><p>In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners on delivering rehabilitation care locally. Building on this, in 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality rehabilitation services. The guidance can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a></p><p> </p><p>For those with the most serious brain injuries and rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/02/2020 17:04:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173431

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Neurology: Mortality Rates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve mortality rates for people with neurological conditions; and what recent assessment he has made of progress in meeting that objective.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8143
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>As seen in a report from Public Health England in 2018, there has been an increase in deaths associated with neurological conditions. The report highlights two major factors that are likely to be contributing to the increase in associated deaths; the success of the National Health Service in improving survival rates from other conditions such as heart disease and cancer, and better diagnosis and recognition of neurological conditions, a range of which are progressive and cannot be cured.</p><p>The report provides important data in supporting commissioners and services planners to better understand the burden of disease, and services that are needed to our changing population. NHS England and NHS Improvement work to provide tailored national support which enables local commissioners and providers to drive improvement and ensure services best reflect the needs of individual communities.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8145 question first answered 04/02/2020 17:01:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173456

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Surrogacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government plans to bring forward legislative proposals on surrogacy before the planned report on the issue by the Law Commission in 2021; and if he will make a statement.
tabling member constituency	Cardiff North
tabling member printed	Anna McMorrin
uin	8438
answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>The Law Commissions of England and Wales, and Scotland, are undertaking an independent review of United Kingdom surrogacy legislation, funded by the Government. I am intending to meet with the Law Commissions’ team in the spring to discuss their analysis of the consultation responses and the policy implications.</p><p>The Government has no plans to publish any draft legislative about surrogacy of its own.</p><p>The Government does not provide a formal Government response to the Commissions’ independent consultations. Under the Government’s Protocol with the Commissions we commit to providing an interim response to the recommendations within six months of publication of the report, and a full response within one year. The Law Commissions intend to publish a report, which will consider the responses received to their consultation and set out their recommendations for reform of the law, in 2021. This will be accompanied by a draft Bill.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8439 question first answered 30/01/2020 11:35:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4632 label Biography information for Anna McMorrin

1173457

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Surrogacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will publish the Government's response to the Law Commission's consultation entitled Building families through surrogacy: a new law, which closed on 11 October 2019.
tabling member constituency	Cardiff North
tabling member printed	Anna McMorrin
uin	8439
answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>The Law Commissions of England and Wales, and Scotland, are undertaking an independent review of United Kingdom surrogacy legislation, funded by the Government. I am intending to meet with the Law Commissions’ team in the spring to discuss their analysis of the consultation responses and the policy implications.</p><p>The Government has no plans to publish any draft legislative about surrogacy of its own.</p><p>The Government does not provide a formal Government response to the Commissions’ independent consultations. Under the Government’s Protocol with the Commissions we commit to providing an interim response to the recommendations within six months of publication of the report, and a full response within one year. The Law Commissions intend to publish a report, which will consider the responses received to their consultation and set out their recommendations for reform of the law, in 2021. This will be accompanied by a draft Bill.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8438 question first answered 30/01/2020 11:35:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4632 label Biography information for Anna McMorrin

1173506

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Abortion: Counselling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to help improve the (a) quality and (b) access to counselling services provided to women considering an abortion.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	8218
answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>Abortion counselling should also be available for those women who request it. Abortions provided by independent sector abortion providers must meet the Required Standard Operating Procedures (RSOPs) set out in the Department’s Procedures for the Approval of Independent Sector Places for the Termination of Pregnancy (Abortion). The RSOPs require that all women requesting an abortion should be offered the opportunity to discuss their options and choices with a trained counsellor and this offer should be regularly repeated. Post abortion counselling should also be available for those women who require it.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/01/2020 11:33:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3958 label Biography information for Fiona Bruce

1173512

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has plans undertake a review of the abortion time-limit.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	8221
answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>The Government has no plans to undertake a review of the abortion time-limit. Parliament decided the circumstances under which abortion can legally be undertaken, including time limits.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/01/2020 11:34:09 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3958 label Biography information for Fiona Bruce

1173536

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Transplant Surgery: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what additional funding the Government plans to allocate to the NHS to support an increase in the number of organ transplants as a result of the Organ Donation (Deemed Consent) Act 2019.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	8296
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>The long-term funding settlement will see the National Health Service in England receive increased funding of £33.9 billion in cash terms per year by the end of the five years compared to today, in a move to secure the future of the health service.</p><p>To support their planning, NHS Blood and Transplant have been working with NHS England to model the anticipated impact of the Organ Donation (Deemed Consent) Act 2019 on the number of organs donated and transplanted across each of the transplant units in England.</p><p>Providers have been asked to assess their capacity and capability to deliver the projected increases especially with regard to workforce, infrastructure and support services (for example theatre capacity, beds, short and long-term capacity to follow-up patients) to enable service to meet the increased demand.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/02/2020 13:50:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1173538

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Organs: Donors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to publicise the changes to the law resulting from the introduction of the Organ Donation (Deemed Consent) Act 2019.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	8297
answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>The Organ Donation (Deemed Consent) Act 2019 heralds a new system of consent for organ and tissue donation in England, known as ‘opt-out' or ‘deemed consent’. The Government aims for the new consent arrangements to be introduced from spring 2020.</p><p>Ahead of the new system coming into force, the Government held a 12-week public consultation to seek views on a proposed list of organs and tissues to exclude from deemed consent. The Government Response to the consultation, the accompanying regulations and a Code of Practice for healthcare professionals, prepared by the Human Tissue Authority following public consultation, will be laid in Parliament in the near future, with information about the timetable.</p><p>To make the public fully aware of the new system of consent, NHS Blood and Transplant launched a communication campaign on behalf of Government in April 2019. Several platforms have been used since then to raise public awareness of the new system, more recently through TV and radio adverts, as well as public advertising with specific targeting of people with different backgrounds, faith and beliefs. NHS Blood and Transplant will continue to work with general practitioner (GP) practices, schools and black, Asian and minority ethnic communities to address barriers to organ donation.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8298 question first answered 30/01/2020 11:37:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis